Differential diagnosis of multiple vertebral compression: butterfly vertebrae.
Abstract
[Purpose] A butterfly vertebra is a rare congenital anomaly resulting from a symmetric fusion defect.
Only a few cases of butterfly vertebra have been described. This anomaly may be isolated or associated with Pfeiffer, Jarcho-Levins, Crouzon, or Alagille syndrome. [Subject and Methods] We herein describe a 38-year-old man
who presented with neck and low back pain and was found to have butterfly vertebrae at the T9 and L3 levels. He
also had Behçet’s disease and psoriasis. [Results] The patient’s symptoms improved with analgesics and physiotherapy. [Conclusion] To our knowledge, butterfly vertebrae at two levels have never been reported. Butterfly vertebrae
may be confused with vertebral fractures in lateral radiographs, and awareness of this anomaly is important for a
correct diagnosis
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